Suicide Prevention and Counseling Research: A Grant Proposal Open Access

Hemphill-Dickson, Suzanne (Fall 2018)

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According to the American Foundation for Suicide Prevention, statistics show that, in 2010, suicide was the 10th leading cause of mortality in the United States and claimed more than 38,000 lives (Research Prioritization Task Force, 2014). Veterans and military personnel represent 20% of all known suicides in the United States (U.S. Department of Veteran Affairs [VA], 2015). Suicide is a preventable public health concern and a top priority for the U.S. Department of Defense (Franklin, 2016).

The increase in suicides among the military community has raised concern among policymakers, military leaders, and the public (RAND, 2011). In September 2017, the VA released data on veteran suicide for the first time in the history of the department. Data measuring suicide rates across U.S. states and regions indicate that suicide rates among veterans in the western region and rural areas of the United States are higher than in any other parts of the country. Montana, Utah, Nevada, and New Mexico had the highest rates of veteran suicide, at 60 per 100,000, compared to the national rate of 38.4 per 100,000 for veteran suicides (Suicide Prevention Resource Center, 2017). This grant proposal seeks to provide recommendations for adopting best practices and most cost-effective prevention and treatment strategies in the military community to reduce suicidality and suicides among military and veteran populations (Military Operational Medicine Research Program [MOMRP], 2009). A review of postvention strategies to directly benefit and preserve the human lives of the military and veteran population will also be offered.

By using a multi-phased approach consisting of a meta-analysis, cost-benefit analysis on results of the findings, and profitability matrix, the overall objective is to evaluate the strengths and weaknesses of intervention and postvention, where they are being used, and the effectiveness as it relates to the targeted population. The outcome of the analysis is to determine the impact or effect of the programs, apply findings to the initial purpose for the grant, and “adopt the best practices and cost-effective prevention and treatment strategies in the military community to reduce suicidality and suicides among military and veteran populations” (MOMRP, 2009, p.5).

Table of Contents

Chapter I: Introduction. 1

Introduction and Rationale. 1

Problem Statement 3

Purpose Statement 4

Significance Statement 4

Definition of Terms. 5

Chapter II: Review of the Literature. 7

Introduction. 7

Research Question. 8

Suicide Prevention. 9

Public Health Framework for Suicide Prevention. 11

Social Ecological Model 12

Suicide Intervention. 14

Suicide Postvention. 15

Findings. 16

Conclusion. 18

Chapter III: Methodology. 20

Funding Agency – U.S. Army Medical Research and Materiel Command, Military Operational Medicine Research Program.. 20

Grant Announcement 21

Grant Proposal Reviewers. 22

Protection of Human Subjects. 27

Chapter IV: Incorporation of Reviewers Comments. 29

Reviewer 1 Comments. 29

Reviewer 2 Comments. 30

Reviewer 3 Comments. 31

Reviewer 4 Comments. 34

Reviewer 5 Comments. 36

Chapter V: Grant Proposal 40

Project Narrative. 40

Statement of Work. 40

Proposed Task. 41

1......... Background. 42

1.1...... Project overview.. 42

1.2...... Rationale. 44

1.3...... Theoretical approach. 44

1.4...... Technical approach to project and evaluation process. 47

1.5...... Relevant literature. 49

1.6...... Citations. 50

2......... Hypothesis. 50

3......... Technical Objectives. 51

4......... Project Milestones. 52

5......... Military Significance and Impact Statement 53

6......... Public Purpose. 53

7......... Methods. 54

7.1. Methods for selecting data under review.. 55

7.2. Meta-analysis. 55

7.3. Cost-benefit analysis. 56

7.4. Profitability matrix. 57

7.5. Description of compensation plan. 58

7.6. Type of Consent 59

7.7. Major inclusion and exclusion criteria. 59

8......... Transition Plan. 61

References. 63

Appendix A: Citations. 66

Appendix B: Grant Team.. 68

Appendix C: DoD Service and Components—Death by Suicide (2012 through Q1, 2018) 69

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